Organization
BAPTIST HEALTHCARE OF OKLAHOMA
Active
Other names
Integris Grove General Hospital ER Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID H ZYCH (CFO)
(918) 786-2243
Entity
Organization
Contact information
Practice address
1310 S MAIN ST, GROVE, OK 74344-5304
(918) 786-2243
(918) 787-3643
Mailing address
1310 S MAIN ST, GROVE, OK 74344-5304
(918) 786-2243
(918) 787-3643
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200059690A
—
OK
Enumeration date
03/14/2006
Last updated
05/29/2008
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